NPIMap

Organization Active NPI

Special Service for Groups, Inc.

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1003060518
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPECIAL SERVICE FOR GROUPS, INC.
Practice address
5811 S San Pedro St
Los Angeles, CA 90011-5323
Phone
(213) 553-1800
NPI assigned
Nov 11, 2008
Last updated
Nov 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Herbert K Hatanaka, DSW
Title
Executive Director
Phone
(213) 553-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5811 S San Pedro St
Los Angeles, CA 90011-5323

Mailing address

605 W Olympic Blvd
Suite 600
Los Angeles, CA 90015-1400
Phone (213) 553-1800

Other names 1

  • SSG San Pedro Other name

National Provider Directory

National Provider Directory
Tax ID family
Special Service for GRP40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1003060518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W OLYMPIC BLVD",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151400",
            "telephone_number": "213-553-1800",
            "fax_number": "213-553-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115323",
            "telephone_number": "213-553-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SERVICE FOR GROUPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "HATANAKA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-553-1800",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSG San Pedro",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SSG San Pedro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.